The 2019 Main Residency Match celebrated its largest in history on March 15, with a record 38,376 applicants submitting program choices for 35,185 positions, the National Resident Matching Program (NRMP) announced in a news release.

The number of available first-year (PGY-1) positions rose to 32,194, an increase of 1,962 (6.5%) over 2018. NRMP credited the influx of positions, in part, to the increased numbers of osteopathic programs that joined the Main Residency Match as a result of the ongoing transition to a single accreditation system for graduate medical education programs.

Of the first-year positions offered in the Match, 15,946 were in the primary care specialties of family medicine, internal medicine, internal medicine-pediatrics, internal medicine-primary, pediatrics and pediatrics-primary, a 7.8 percent increase over the number offered in 2018.

For applicants, the Main Residency Match process begins in the fall during the final year of medical school, when they apply to the residency programs of their choice. Throughout the fall and early winter, applicants interview with programs. From mid-January to late February, applicants and program directors rank each other in order of preference and submit the preference lists to NRMP, which processes them using a computerized mathematical algorithm to match applicants with programs.

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